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Clarksville Dental Group PLLC

NPI 1518758408ActiveOrganization· Dentist· Clarksville, TN

Dentist in Clarksville, Tennessee, registered in NPPES in May 2025. The authorized official on file is Kevin Kennedy, DDS, Owner.

Overview

NPI1518758408
StatusActive
Entity typeOrganization
NPI issuedMay 13, 2025
Last updated in NPPESMay 13, 2025
Certified by providerMay 13, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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